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Papers by Muluwas Amentie

Research Square (Research Square), Jan 17, 2022

Utilization of maternal health services is a direct and indirect indicator of perinatal death, an... more Utilization of maternal health services is a direct and indirect indicator of perinatal death, and socioeconomic development. Evidence on individual and community level determinants of maternal health services in Ethiopia, particularly in the study region was not found. Hence, this study lls this gap. Results Among 2,198 study subjects, proportion of pregnant women who visited antenatal care (ANC4 +), received skilled delivery care, and postnatal care (PNC) were 66.1%, 58.3%, and 58.6% respectively. Besides these, community and different individual-level factors for the three indicators were detected. For ANC 4th visits: place of resident (AOR=3.82), information on MHS (AOR=2.13), history of pregnancy-related problems (AOR=1.83) and women's decision-making (AOR=1.74). For skilled delivery were belonged in 3rd quintile household wealth (AOR=2.23), women's education (AOR=1.71), attended ANC visit 4th (AOR=2.29), delay initiation of ANC visit between 4-6 months (AOR=0.66). Finally, for PNC services: partner education (AOR=3.67), attending recommended ANC visits (AOR=10.8), iron folic acid supplementation (AOR=1.96) and skilled delivery (AOR=1.63). Hence, community based interventions are strongly recommended to improve utilization of maternal health services.

American journal of laboratory medicine, Aug 18, 2021

Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associa... more Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associated infection which is considered to be 20% to 25% of all infections. It is an infection which occurs within 30 days after a surgical procedure or up to one year in those surgical patients in which an implant has been placed in an organ. SSI were the leading infections in developing country and strikingly higher proportions recorded in developed countries. Objective. nurses' knowledge, practice, and associated factors towards surgical site infection prevention in Benishangul Gumuz Regional north West Ethiopia 2021. Methods: A facility based cross-sectional study was conducted among staff nurse in Benishangul Gumuz regional hospitals, western Ethiopia from janury 1st to October 1st 2021. A total of 218 nurses were recruited consecutively as study subjects. Data was collected using structured questionnaire. The collected data was analyzed using SPSS version 20.0 and descriptive statistic was used to indicate the frequency and percentage of variables and chi-square was used to determine the predictors of nurse's knowledge and practice at P values <0.05 was considered determine significant association. Result: about two handed eighteen study subject were interviewed the finding shows that 51.8% of nurse were not knowledgeable and around 47.2% of nurses were having poor practice toward SSI prevention. Chi-square test shows that variables like marital status, working period and work experience has got association with nurses' knowledge and practice toward SSI prevention. finally training standard SSI prevention guideline close monitoring is required from respective facility and stakeholders.

Reproductive Health

Background Globally, around 4 million babies die within the first month of birth annually with mo... more Background Globally, around 4 million babies die within the first month of birth annually with more than 3 million stillbirths. Of them, 99% of newborn deaths and 98% of stillbirths occur in developing countries. Despite giving priority to maternal health services, adverse birth outcomes are still major public health problems in the study area. Hence, a continuum of care (CoC) is a core key strategy to overcome those challenges. The study conducted on the effectiveness of continuum of care in maternal health services was scarce in developing countries and not done in the study area. We aimed to assess the effectiveness of continuum of care and determinants of adverse birth outcomes. Methods Community and health facility-linked prospective follow-up study designs were employed from March 2020 to January 2021 in Northwestern Ethiopia. A multistage clustered sampling technique was used to recruit 2198 pregnant women. Data were collected by using a semi-structured and pretested question...

Introduction: Worldwide, annually millions of women, newborn and children died from preventable c... more Introduction: Worldwide, annually millions of women, newborn and children died from preventable causes that could manage by easily and affordable interventions. However, more than 60 million pregnant women were delivered at home without the help of skilled provider. Thus, assuring continuity of care has become a key program strategy for improving the health of mothers and newborns. But, evidence was rare on level and determinants of continuum of care in maternal health services and how continuity of maternal health service is effectiveness on reduction of maternal and infant mortality particularly in developing countries. Therefore, this review gave some clue on these scarce evidences. Methodology: The searching strategies were done by searching published studies only in the form of English language. Our searching engines were: PubMed, Google Scholar, Cochrane and Medline. Bibliographies of eligible paper were manually identified from relevant citations. Then after, the identified a...

Ethiopian Journal of Health Development, 2017

Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and pept... more Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and peptic ulcer disease (PUD). It is also an important risk factor for the development of gastric cancer and mucosal associated lymphoid tissue (MALT) lymphoma. Objective: The main aim of this study was to assess the prevalence of Helicobacter pylori infection and related risk factors among symptomatic and asymptomatic adults. Methods: A comparative cross-sectional study was conducted among dyspepsia and non-dyspepsia adults from March 2015 to October 2015 at Assosa General Hospital in Ethiopia. The presence of stool antigen of H. pylori was determined against anti-Helicobacter pylori antibody conjugated with colloid gold nitrocellulose membrane strip and a structured face-to-face interview was also administered to assess risk factors for H. pylori infection. Data were analyzed using SPSS version 20. Logistic regression was used to estimate odds ratios at 95% CI to the different risk factors. R...

In the World young people are faced with immense Reproductive Health (RH) problems, they have lim... more In the World young people are faced with immense Reproductive Health (RH) problems, they have limited access to quality RH services and information that are specially designed to meet their needs. Available reproductive health services are adult-centered thus making them less accessible to adolescents. Thus, the main objective of the study was to assess youth friendly reproductive health service utilization and its associated factors among youth of Metekel zone, North West Ethiopia. Method: a community based cross sectional study design was employed. Two towns were randomly selected from the seven towns with youth friendly services. Sample size was proportionally allocated based on the total household population size of each town. Systematic sampling technique was used to select individual participants at house hold level. Result: the majority of respondents (72.9%) had information about youth friendly services (YFS) of which 72.7% of the respondents heard YFS from health profession...

Journal of Multidisciplinary Healthcare

Coronavirus 2019 (COVID-19) is an acute respiratory viral infectious disease transmitted by respi... more Coronavirus 2019 (COVID-19) is an acute respiratory viral infectious disease transmitted by respiratory and fomites. The incidence of this disease is growing exponentially and affects millions of the world population. Consequently, it has become most urgent public health risk. Thus, the intention of this research is searching indigenous knowledge on COVID-19 and related infectious disease prevention and mitigation mechanisms which were not scientifically known. Therefore, this study targeted to explore local traditional knowledge of (COVID-19) or related diseases in the study area. Methods: Phenomenological design was used to explore traditional knowledge of medicine. The source populations were all elder peoples, who were known for their traditional medicine. The individuals were purposively selected from source population by using snowball sampling technique. Since study was qualitative method, the sample size was determined by the level of saturation of information as result 40 study participants were interviewed and recorded their audio using tape recorder. Then, data were analyzed using a thematic analysis with a combination of inductive and deductive methods. Results: The study reveals that coronavirus like disease was appeared past times. Such diseases were called "Alwoba" or "Marya" which is named by the local language and it has similar signs and symptoms with coronavirus disease. The key informants reported that traditional medicines were available that cured those diseases. This study infers there had been COVID-19 related diseases about 100 years back because those diseases had a similar symptoms and ways of transmission with COVID-19. They use different types of traditional medicines for those diseases which have been inherited to generations and cured them. Conclusion: This evidence explored that the existence of traditional medicine for COVID-19 related diseases. Hence, this study strongly suggested that to undertake experimental research for medical approval on the available traditional medicine.

International Invention of Scientific Journal, Dec 31, 2019

Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; the... more Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. The editorial history of this article is available here:

Objective Utilization of maternal health services is a direct and indirect indicator of perinatal... more Objective Utilization of maternal health services is a direct and indirect indicator of perinatal death, and socio-economic development. Evidence on individual and community level determinants of maternal health services in Ethiopia, particularly in the study region was not found. Hence, this study fills this gap. Results Among 2,198 study subjects, proportion of pregnant women who visited antenatal care (ANC4+), received skilled delivery care, and postnatal care (PNC) were 66.1%, 58.3%, and 58.6% respectively. Besides these, community and different individual-level factors for the three indicators were detected. For ANC 4th visits: place of resident (AOR=3.82), information on MHS (AOR=2.13), history of pregnancy-related problems (AOR=1.83) and women's decision-making (AOR=1.74). For skilled delivery were belonged in 3rd quintile household wealth (AOR=2.23), women's education (AOR=1.71), attended ANC visit 4th (AOR=2.29), delay initiation of ANC visit between 4–6 months (AOR...

Background: Long-term regular follow up of ART is an important component of HIV care. Patients wh... more Background: Long-term regular follow up of ART is an important component of HIV care. Patients who are lost to followup (LTFU) while on treatment compromise their own health and the long-term success of ART programs Objective: To assess prevalence and risk factors for LTFU in HIV patients on ART at ART clinic of Benshangul Gumuz, Ethiopia Methods: A retrospective cohort study design was conducted among a minimum 1044 of people living with HIV/AIDS and attending an ART clinic in ten health care facilities of Benshangul Gumuz region between 2005 and 2014. The primary outcome variable was LTFU from ART follow-up care after initiation of treatment, confirmed by reviewing medical registration at the facility. The time to LTFU calculated in year’s base according to the time interval between the dates of ART initiation to the date of termination, as recorded by the ART registration book. A logistic regression model was employed in order to identify independents predictors to Lost to follow...

Science Journal of Clinical Medicine, 2015

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2011

To determine the prevalence of pulmonary tuberculosis (PTB) and associated risk factors among inm... more To determine the prevalence of pulmonary tuberculosis (PTB) and associated risk factors among inmates in three major prison settings of Eastern Ethiopia.

PLOS ONE, 2022

Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; the... more Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. The editorial history of this article is available here:

In the World young people are faced with immense Reproductive Health (RH) problems, they have lim... more In the World young people are faced with immense Reproductive Health (RH) problems, they have limited access to quality RH services and information that are specially designed to meet their needs. Available reproductive health services are adult-centered thus making them less accessible to adolescents. Thus, the main objective of the study was to assess youth friendly reproductive health service utilization and its associated factors among youth of Metekel zone, North West Ethiopia. Method: a community based cross sectional study design was employed. Two towns were randomly selected from the seven towns with youth friendly services. Sample size was proportionally allocated based on the total household population size of each town. Systematic sampling technique was used to select individual participants at house hold level. Result: the majority of respondents (72.9%) had information about youth friendly services (YFS) of which 72.7% of the respondents heard YFS from health profession...

American Journal of Laboratory Medicine, 2021

Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associa... more Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associated infection which is considered to be 20% to 25% of all infections. It is an infection which occurs within 30 days after a surgical procedure or up to one year in those surgical patients in which an implant has been placed in an organ. SSI were the leading infections in developing country and strikingly higher proportions recorded in developed countries. Objective. nurses' knowledge, practice, and associated factors towards surgical site infection prevention in Benishangul Gumuz Regional north West Ethiopia 2021. Methods: A facility based cross-sectional study was conducted among staff nurse in Benishangul Gumuz regional hospitals, western Ethiopia from janury 1st to October 1st 2021. A total of 218 nurses were recruited consecutively as study subjects. Data was collected using structured questionnaire. The collected data was analyzed using SPSS version 20.0 and descriptive statistic was used to indicate the frequency and percentage of variables and chi-square was used to determine the predictors of nurse's knowledge and practice at P values <0.05 was considered determine significant association. Result: about two handed eighteen study subject were interviewed the finding shows that 51.8% of nurse were not knowledgeable and around 47.2% of nurses were having poor practice toward SSI prevention. Chi-square test shows that variables like marital status, working period and work experience has got association with nurses' knowledge and practice toward SSI prevention. finally training standard SSI prevention guideline close monitoring is required from respective facility and stakeholders.

Background: Nearly all (99%) of maternal death occur in the developing countries. However, family... more Background: Nearly all (99%) of maternal death occur in the developing countries. However, family planning (FP) could prevent as many as one in every three maternal deaths by allowing women to delay motherhood, space birth, avoid unintended pregnancies and abortion and stop childbearing when they reached their desired family size. Objective: To assess utilization of family planning services and influencing factors among women in Assosa District. Methods: A community based cross sectional study was conducted from May 17-31, 2012 on the selected samples of 536 women who had at least one delivery in the five years prior to the study using simple random sampling technique. Structured questionnaire, FGD and indepth interview guide were used to collect data. Data were analyzed by using SPSS version 16.0. Binary logistic regression was used to determine the association between dependent and independent variables. Results: Out of the 525 study subjects 339(64.6%) women were currently using any method of contraceptive. Factors influencing utilization of family planning services were attending grade 7 and above [AOR= 2.19, 95% CI: 1.11, 4.33], being knowledgeable on family planning service [AOR= 3.9, 95% CI: 1.36, 8.48], having favorable attitude towards family planning service [AOR= 2.16, 95% CI: 1.45, 3.23] and availability of family planning service [AOR= 4.33, 95% CI: 1.5, 12.46]. Conclusion: This study revealed that family planning services were relatively better; they are still low as compared to national HSDP IV target. Educational status, knowledge on family planning, attitude towards family planning services and availability of family planning services were identified as factors affecting current utilization of family planning service. Providing IEC and household level discussion on the important of family planning service utilization in the district is recommended.

Ethiopian Journal of Health Development, 2017

Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and pept... more Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and peptic ulcer disease (PUD). It is also an important risk factor for the development of gastric cancer and mucosal associated lymphoid tissue (MALT) lymphoma. Objective: The main aim of this study was to assess the prevalence of Helicobacter pylori infection and related risk factors among symptomatic and asymptomatic adults. Methods: A comparative cross-sectional study was conducted among dyspepsia and non-dyspepsia adults from March 2015 to October 2015 at Assosa General Hospital in Ethiopia. The presence of stool antigen of H. pylori was determined against anti-Helicobacter pylori antibody conjugated with colloid gold nitrocellulose membrane strip and a structured face-to-face interview was also administered to assess risk factors for H. pylori infection. Data were analyzed using SPSS version 20. Logistic regression was used to estimate odds ratios at 95% CI to the different risk factors. Results: Of a total of 230(115 dyspeptic and 115 non-dyspeptic) study participants, overall 112(48.7%) antigens of H. pylori were detected. The prevalence of H. pylori was significantly associated with which gender in both dyspepsia [AOR=2.33, 95% CI: 1.13-5.86), p=0.023] and non-dyspepsia adults [AOR=1.07, 95% CI: 1.01-3.83, p=0.035]. Further, the prevalence of H. pylori infection was significantly higher in dyspepsia patients 67/115 (58.3%) than nondyspepsia 45/115 (39.1%) individuals [AOR=2.4, 95% CI: 1.2-13.7, p=0.002]. There was no significant association among age groups (p>0.05). Similarly, no significant association was observed in the prevalence of H. pylori with family size, educational status, marital status, toilet use habit, blood groups and occupation (p>0.05). A statistically significant association was observed between H. pylori infection and residence (p<0.05). Alcohol drinking, coffee consumption, cigarette smoking and khat chewing had no significant association with H. pylori infection (p>0.05). Conclusion: The prevalence of H. pylori infection was high among symptomatic patients than non-symptomatic adults at Assosa General Hospital. H. pylori infection was significantly associated with which gender, residence area and hand washing habit after latrine. The burden of H. pylori that we reported necessitates the need to design and apply intervention measures that could decrease transmission and thus minimize the clinical consequences of infection.

International Journal of Social Relevance & Concern, 2018

Background:Tuberculosis (TB) is one of the major health problems in Ethiopia.Congregate settings ... more Background:Tuberculosis (TB) is one of the major health problems in Ethiopia.Congregate settings like prisons are the most important conducive environment for the transmission of tuberculosis (TB), but they are often given less attention.Objective:This study was done to assess point prevalence and associated factors of pulmonary tuberculosis inBenishangulGumuz Region prisons.Methods: A cross-sectional study was conducted from February to April 2018 in three zonalprisons of BenishangulGumuz Region. PTB symptom screening according to WHO criteria was done to all prisoners resided in the prisons during the data collection period. One morning sputum wasobtained from 84 eligible prisoners and tested for mycobacterium tuberculosis using gene expert. Results: The prevalence of pulmonary tuberculosis among the total prisoners was 0.24% (8/3395) and among those with cough duration of more than two weeks was 9.5% (8/84). One newly diagnosed case in Kamash prison was found to be drug resistant TB. Predictors identified for PTB werecough for more than four weeks duration and body mass index less than18.5kg/m 2 were significantly associated with odds of being cases of pulmonary tuberculosis.Conclusions: The finding of this study showed that tuberculosis among prisoners having cough of two or more week's duration in BenishangulGumuz Region prisons was found to be high. Rifampicin resistant TB was also identified in one of the prison which is a public health crisis and a global health security risk carrying grave consequences for those affected. In order to reduce the burden of TB in prisons regular screening of the prisoners and routine screening of newly introduced prisoners should be in place.

Science Journal of Clinical Medicine, 2015

Background: Youths' sexual behaviour affects their physical, psychological and social well-being ... more Background: Youths' sexual behaviour affects their physical, psychological and social well-being leading to death. Youth are at high risk of Human Immune Virus (HIV) and Sexual Transmitted Infection (STI) despite high level of knowledge about HIV/STI. Objective: to assess risky sexual behaviour and associated factors among high school youth 15-24 years. Methods: A cross-sectional study design was employed using a pre-tested self-administered questionnaire and supplemented by focus group discussion which conducted from May 10 th to 20 th , 2012G.C among high school youth in Pawe Woreda, Northwest Ethiopia. Bivariate and multivariate analyses were employed. A total of 374 youth were selected using simple random sampling method. The data were analyzed using SPSS for windows version 16.0. Descriptive statists, bivariate and multivariable logistic regression analyses were performed after cleaning the data. Statistical significance was declared at P<0.05. Results: Out of the study subjects; 90 (24.1%) respondents were sexually active. Among the sexually active students: 37(41.1%) reported ever use of condom, 5.5% reported sexual contact with commercial sex workers and 26 (35.1%) reported having more than two sexual partner. Consistent use of condom was reported only by 16(43.2%). Seventy four (82.2%) had risky sexual behavior. Only 24 (26.7%) reported high chance of acquiring Human Immune Virus (HIV) and Sexual Transmitted Infection (STI). Multivariable logistic regression analyses showed that being in 18-24 age group (AOR=3.279 [95% CI: 1.79, 6.008]) and drinking alcohol (AOR = 9.1 [95% CI: 2.517, 32.9]) were associated with risky sexual behaviour. Conclusion: Considerable amount of school youth had started early sexual activity and have developed risky sexual behaviour that might predispose them to different sexual and reproductive health problems. Delaying sexual initiation and reducing risky sexual behaviour among youth can be achieved through well designed sexual education programs at earlier life in school.

Research Square (Research Square), Jan 17, 2022

Utilization of maternal health services is a direct and indirect indicator of perinatal death, an... more Utilization of maternal health services is a direct and indirect indicator of perinatal death, and socioeconomic development. Evidence on individual and community level determinants of maternal health services in Ethiopia, particularly in the study region was not found. Hence, this study lls this gap. Results Among 2,198 study subjects, proportion of pregnant women who visited antenatal care (ANC4 +), received skilled delivery care, and postnatal care (PNC) were 66.1%, 58.3%, and 58.6% respectively. Besides these, community and different individual-level factors for the three indicators were detected. For ANC 4th visits: place of resident (AOR=3.82), information on MHS (AOR=2.13), history of pregnancy-related problems (AOR=1.83) and women's decision-making (AOR=1.74). For skilled delivery were belonged in 3rd quintile household wealth (AOR=2.23), women's education (AOR=1.71), attended ANC visit 4th (AOR=2.29), delay initiation of ANC visit between 4-6 months (AOR=0.66). Finally, for PNC services: partner education (AOR=3.67), attending recommended ANC visits (AOR=10.8), iron folic acid supplementation (AOR=1.96) and skilled delivery (AOR=1.63). Hence, community based interventions are strongly recommended to improve utilization of maternal health services.

American journal of laboratory medicine, Aug 18, 2021

Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associa... more Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associated infection which is considered to be 20% to 25% of all infections. It is an infection which occurs within 30 days after a surgical procedure or up to one year in those surgical patients in which an implant has been placed in an organ. SSI were the leading infections in developing country and strikingly higher proportions recorded in developed countries. Objective. nurses' knowledge, practice, and associated factors towards surgical site infection prevention in Benishangul Gumuz Regional north West Ethiopia 2021. Methods: A facility based cross-sectional study was conducted among staff nurse in Benishangul Gumuz regional hospitals, western Ethiopia from janury 1st to October 1st 2021. A total of 218 nurses were recruited consecutively as study subjects. Data was collected using structured questionnaire. The collected data was analyzed using SPSS version 20.0 and descriptive statistic was used to indicate the frequency and percentage of variables and chi-square was used to determine the predictors of nurse's knowledge and practice at P values <0.05 was considered determine significant association. Result: about two handed eighteen study subject were interviewed the finding shows that 51.8% of nurse were not knowledgeable and around 47.2% of nurses were having poor practice toward SSI prevention. Chi-square test shows that variables like marital status, working period and work experience has got association with nurses' knowledge and practice toward SSI prevention. finally training standard SSI prevention guideline close monitoring is required from respective facility and stakeholders.

Reproductive Health

Background Globally, around 4 million babies die within the first month of birth annually with mo... more Background Globally, around 4 million babies die within the first month of birth annually with more than 3 million stillbirths. Of them, 99% of newborn deaths and 98% of stillbirths occur in developing countries. Despite giving priority to maternal health services, adverse birth outcomes are still major public health problems in the study area. Hence, a continuum of care (CoC) is a core key strategy to overcome those challenges. The study conducted on the effectiveness of continuum of care in maternal health services was scarce in developing countries and not done in the study area. We aimed to assess the effectiveness of continuum of care and determinants of adverse birth outcomes. Methods Community and health facility-linked prospective follow-up study designs were employed from March 2020 to January 2021 in Northwestern Ethiopia. A multistage clustered sampling technique was used to recruit 2198 pregnant women. Data were collected by using a semi-structured and pretested question...

Introduction: Worldwide, annually millions of women, newborn and children died from preventable c... more Introduction: Worldwide, annually millions of women, newborn and children died from preventable causes that could manage by easily and affordable interventions. However, more than 60 million pregnant women were delivered at home without the help of skilled provider. Thus, assuring continuity of care has become a key program strategy for improving the health of mothers and newborns. But, evidence was rare on level and determinants of continuum of care in maternal health services and how continuity of maternal health service is effectiveness on reduction of maternal and infant mortality particularly in developing countries. Therefore, this review gave some clue on these scarce evidences. Methodology: The searching strategies were done by searching published studies only in the form of English language. Our searching engines were: PubMed, Google Scholar, Cochrane and Medline. Bibliographies of eligible paper were manually identified from relevant citations. Then after, the identified a...

Ethiopian Journal of Health Development, 2017

Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and pept... more Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and peptic ulcer disease (PUD). It is also an important risk factor for the development of gastric cancer and mucosal associated lymphoid tissue (MALT) lymphoma. Objective: The main aim of this study was to assess the prevalence of Helicobacter pylori infection and related risk factors among symptomatic and asymptomatic adults. Methods: A comparative cross-sectional study was conducted among dyspepsia and non-dyspepsia adults from March 2015 to October 2015 at Assosa General Hospital in Ethiopia. The presence of stool antigen of H. pylori was determined against anti-Helicobacter pylori antibody conjugated with colloid gold nitrocellulose membrane strip and a structured face-to-face interview was also administered to assess risk factors for H. pylori infection. Data were analyzed using SPSS version 20. Logistic regression was used to estimate odds ratios at 95% CI to the different risk factors. R...

In the World young people are faced with immense Reproductive Health (RH) problems, they have lim... more In the World young people are faced with immense Reproductive Health (RH) problems, they have limited access to quality RH services and information that are specially designed to meet their needs. Available reproductive health services are adult-centered thus making them less accessible to adolescents. Thus, the main objective of the study was to assess youth friendly reproductive health service utilization and its associated factors among youth of Metekel zone, North West Ethiopia. Method: a community based cross sectional study design was employed. Two towns were randomly selected from the seven towns with youth friendly services. Sample size was proportionally allocated based on the total household population size of each town. Systematic sampling technique was used to select individual participants at house hold level. Result: the majority of respondents (72.9%) had information about youth friendly services (YFS) of which 72.7% of the respondents heard YFS from health profession...

Journal of Multidisciplinary Healthcare

Coronavirus 2019 (COVID-19) is an acute respiratory viral infectious disease transmitted by respi... more Coronavirus 2019 (COVID-19) is an acute respiratory viral infectious disease transmitted by respiratory and fomites. The incidence of this disease is growing exponentially and affects millions of the world population. Consequently, it has become most urgent public health risk. Thus, the intention of this research is searching indigenous knowledge on COVID-19 and related infectious disease prevention and mitigation mechanisms which were not scientifically known. Therefore, this study targeted to explore local traditional knowledge of (COVID-19) or related diseases in the study area. Methods: Phenomenological design was used to explore traditional knowledge of medicine. The source populations were all elder peoples, who were known for their traditional medicine. The individuals were purposively selected from source population by using snowball sampling technique. Since study was qualitative method, the sample size was determined by the level of saturation of information as result 40 study participants were interviewed and recorded their audio using tape recorder. Then, data were analyzed using a thematic analysis with a combination of inductive and deductive methods. Results: The study reveals that coronavirus like disease was appeared past times. Such diseases were called "Alwoba" or "Marya" which is named by the local language and it has similar signs and symptoms with coronavirus disease. The key informants reported that traditional medicines were available that cured those diseases. This study infers there had been COVID-19 related diseases about 100 years back because those diseases had a similar symptoms and ways of transmission with COVID-19. They use different types of traditional medicines for those diseases which have been inherited to generations and cured them. Conclusion: This evidence explored that the existence of traditional medicine for COVID-19 related diseases. Hence, this study strongly suggested that to undertake experimental research for medical approval on the available traditional medicine.

International Invention of Scientific Journal, Dec 31, 2019

Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; the... more Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. The editorial history of this article is available here:

Objective Utilization of maternal health services is a direct and indirect indicator of perinatal... more Objective Utilization of maternal health services is a direct and indirect indicator of perinatal death, and socio-economic development. Evidence on individual and community level determinants of maternal health services in Ethiopia, particularly in the study region was not found. Hence, this study fills this gap. Results Among 2,198 study subjects, proportion of pregnant women who visited antenatal care (ANC4+), received skilled delivery care, and postnatal care (PNC) were 66.1%, 58.3%, and 58.6% respectively. Besides these, community and different individual-level factors for the three indicators were detected. For ANC 4th visits: place of resident (AOR=3.82), information on MHS (AOR=2.13), history of pregnancy-related problems (AOR=1.83) and women's decision-making (AOR=1.74). For skilled delivery were belonged in 3rd quintile household wealth (AOR=2.23), women's education (AOR=1.71), attended ANC visit 4th (AOR=2.29), delay initiation of ANC visit between 4–6 months (AOR...

Background: Long-term regular follow up of ART is an important component of HIV care. Patients wh... more Background: Long-term regular follow up of ART is an important component of HIV care. Patients who are lost to followup (LTFU) while on treatment compromise their own health and the long-term success of ART programs Objective: To assess prevalence and risk factors for LTFU in HIV patients on ART at ART clinic of Benshangul Gumuz, Ethiopia Methods: A retrospective cohort study design was conducted among a minimum 1044 of people living with HIV/AIDS and attending an ART clinic in ten health care facilities of Benshangul Gumuz region between 2005 and 2014. The primary outcome variable was LTFU from ART follow-up care after initiation of treatment, confirmed by reviewing medical registration at the facility. The time to LTFU calculated in year’s base according to the time interval between the dates of ART initiation to the date of termination, as recorded by the ART registration book. A logistic regression model was employed in order to identify independents predictors to Lost to follow...

Science Journal of Clinical Medicine, 2015

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2011

To determine the prevalence of pulmonary tuberculosis (PTB) and associated risk factors among inm... more To determine the prevalence of pulmonary tuberculosis (PTB) and associated risk factors among inmates in three major prison settings of Eastern Ethiopia.

PLOS ONE, 2022

Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; the... more Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. The editorial history of this article is available here:

In the World young people are faced with immense Reproductive Health (RH) problems, they have lim... more In the World young people are faced with immense Reproductive Health (RH) problems, they have limited access to quality RH services and information that are specially designed to meet their needs. Available reproductive health services are adult-centered thus making them less accessible to adolescents. Thus, the main objective of the study was to assess youth friendly reproductive health service utilization and its associated factors among youth of Metekel zone, North West Ethiopia. Method: a community based cross sectional study design was employed. Two towns were randomly selected from the seven towns with youth friendly services. Sample size was proportionally allocated based on the total household population size of each town. Systematic sampling technique was used to select individual participants at house hold level. Result: the majority of respondents (72.9%) had information about youth friendly services (YFS) of which 72.7% of the respondents heard YFS from health profession...

American Journal of Laboratory Medicine, 2021

Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associa... more Introduction: Surgical Site Infection (SSI) is one of the most common types of Healthcare associated infection which is considered to be 20% to 25% of all infections. It is an infection which occurs within 30 days after a surgical procedure or up to one year in those surgical patients in which an implant has been placed in an organ. SSI were the leading infections in developing country and strikingly higher proportions recorded in developed countries. Objective. nurses' knowledge, practice, and associated factors towards surgical site infection prevention in Benishangul Gumuz Regional north West Ethiopia 2021. Methods: A facility based cross-sectional study was conducted among staff nurse in Benishangul Gumuz regional hospitals, western Ethiopia from janury 1st to October 1st 2021. A total of 218 nurses were recruited consecutively as study subjects. Data was collected using structured questionnaire. The collected data was analyzed using SPSS version 20.0 and descriptive statistic was used to indicate the frequency and percentage of variables and chi-square was used to determine the predictors of nurse's knowledge and practice at P values <0.05 was considered determine significant association. Result: about two handed eighteen study subject were interviewed the finding shows that 51.8% of nurse were not knowledgeable and around 47.2% of nurses were having poor practice toward SSI prevention. Chi-square test shows that variables like marital status, working period and work experience has got association with nurses' knowledge and practice toward SSI prevention. finally training standard SSI prevention guideline close monitoring is required from respective facility and stakeholders.

Background: Nearly all (99%) of maternal death occur in the developing countries. However, family... more Background: Nearly all (99%) of maternal death occur in the developing countries. However, family planning (FP) could prevent as many as one in every three maternal deaths by allowing women to delay motherhood, space birth, avoid unintended pregnancies and abortion and stop childbearing when they reached their desired family size. Objective: To assess utilization of family planning services and influencing factors among women in Assosa District. Methods: A community based cross sectional study was conducted from May 17-31, 2012 on the selected samples of 536 women who had at least one delivery in the five years prior to the study using simple random sampling technique. Structured questionnaire, FGD and indepth interview guide were used to collect data. Data were analyzed by using SPSS version 16.0. Binary logistic regression was used to determine the association between dependent and independent variables. Results: Out of the 525 study subjects 339(64.6%) women were currently using any method of contraceptive. Factors influencing utilization of family planning services were attending grade 7 and above [AOR= 2.19, 95% CI: 1.11, 4.33], being knowledgeable on family planning service [AOR= 3.9, 95% CI: 1.36, 8.48], having favorable attitude towards family planning service [AOR= 2.16, 95% CI: 1.45, 3.23] and availability of family planning service [AOR= 4.33, 95% CI: 1.5, 12.46]. Conclusion: This study revealed that family planning services were relatively better; they are still low as compared to national HSDP IV target. Educational status, knowledge on family planning, attitude towards family planning services and availability of family planning services were identified as factors affecting current utilization of family planning service. Providing IEC and household level discussion on the important of family planning service utilization in the district is recommended.

Ethiopian Journal of Health Development, 2017

Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and pept... more Background: Helicobacter pylori are curved gram-negative bacteria which causes gastritis and peptic ulcer disease (PUD). It is also an important risk factor for the development of gastric cancer and mucosal associated lymphoid tissue (MALT) lymphoma. Objective: The main aim of this study was to assess the prevalence of Helicobacter pylori infection and related risk factors among symptomatic and asymptomatic adults. Methods: A comparative cross-sectional study was conducted among dyspepsia and non-dyspepsia adults from March 2015 to October 2015 at Assosa General Hospital in Ethiopia. The presence of stool antigen of H. pylori was determined against anti-Helicobacter pylori antibody conjugated with colloid gold nitrocellulose membrane strip and a structured face-to-face interview was also administered to assess risk factors for H. pylori infection. Data were analyzed using SPSS version 20. Logistic regression was used to estimate odds ratios at 95% CI to the different risk factors. Results: Of a total of 230(115 dyspeptic and 115 non-dyspeptic) study participants, overall 112(48.7%) antigens of H. pylori were detected. The prevalence of H. pylori was significantly associated with which gender in both dyspepsia [AOR=2.33, 95% CI: 1.13-5.86), p=0.023] and non-dyspepsia adults [AOR=1.07, 95% CI: 1.01-3.83, p=0.035]. Further, the prevalence of H. pylori infection was significantly higher in dyspepsia patients 67/115 (58.3%) than nondyspepsia 45/115 (39.1%) individuals [AOR=2.4, 95% CI: 1.2-13.7, p=0.002]. There was no significant association among age groups (p>0.05). Similarly, no significant association was observed in the prevalence of H. pylori with family size, educational status, marital status, toilet use habit, blood groups and occupation (p>0.05). A statistically significant association was observed between H. pylori infection and residence (p<0.05). Alcohol drinking, coffee consumption, cigarette smoking and khat chewing had no significant association with H. pylori infection (p>0.05). Conclusion: The prevalence of H. pylori infection was high among symptomatic patients than non-symptomatic adults at Assosa General Hospital. H. pylori infection was significantly associated with which gender, residence area and hand washing habit after latrine. The burden of H. pylori that we reported necessitates the need to design and apply intervention measures that could decrease transmission and thus minimize the clinical consequences of infection.

International Journal of Social Relevance & Concern, 2018

Background:Tuberculosis (TB) is one of the major health problems in Ethiopia.Congregate settings ... more Background:Tuberculosis (TB) is one of the major health problems in Ethiopia.Congregate settings like prisons are the most important conducive environment for the transmission of tuberculosis (TB), but they are often given less attention.Objective:This study was done to assess point prevalence and associated factors of pulmonary tuberculosis inBenishangulGumuz Region prisons.Methods: A cross-sectional study was conducted from February to April 2018 in three zonalprisons of BenishangulGumuz Region. PTB symptom screening according to WHO criteria was done to all prisoners resided in the prisons during the data collection period. One morning sputum wasobtained from 84 eligible prisoners and tested for mycobacterium tuberculosis using gene expert. Results: The prevalence of pulmonary tuberculosis among the total prisoners was 0.24% (8/3395) and among those with cough duration of more than two weeks was 9.5% (8/84). One newly diagnosed case in Kamash prison was found to be drug resistant TB. Predictors identified for PTB werecough for more than four weeks duration and body mass index less than18.5kg/m 2 were significantly associated with odds of being cases of pulmonary tuberculosis.Conclusions: The finding of this study showed that tuberculosis among prisoners having cough of two or more week's duration in BenishangulGumuz Region prisons was found to be high. Rifampicin resistant TB was also identified in one of the prison which is a public health crisis and a global health security risk carrying grave consequences for those affected. In order to reduce the burden of TB in prisons regular screening of the prisoners and routine screening of newly introduced prisoners should be in place.

Science Journal of Clinical Medicine, 2015

Background: Youths' sexual behaviour affects their physical, psychological and social well-being ... more Background: Youths' sexual behaviour affects their physical, psychological and social well-being leading to death. Youth are at high risk of Human Immune Virus (HIV) and Sexual Transmitted Infection (STI) despite high level of knowledge about HIV/STI. Objective: to assess risky sexual behaviour and associated factors among high school youth 15-24 years. Methods: A cross-sectional study design was employed using a pre-tested self-administered questionnaire and supplemented by focus group discussion which conducted from May 10 th to 20 th , 2012G.C among high school youth in Pawe Woreda, Northwest Ethiopia. Bivariate and multivariate analyses were employed. A total of 374 youth were selected using simple random sampling method. The data were analyzed using SPSS for windows version 16.0. Descriptive statists, bivariate and multivariable logistic regression analyses were performed after cleaning the data. Statistical significance was declared at P<0.05. Results: Out of the study subjects; 90 (24.1%) respondents were sexually active. Among the sexually active students: 37(41.1%) reported ever use of condom, 5.5% reported sexual contact with commercial sex workers and 26 (35.1%) reported having more than two sexual partner. Consistent use of condom was reported only by 16(43.2%). Seventy four (82.2%) had risky sexual behavior. Only 24 (26.7%) reported high chance of acquiring Human Immune Virus (HIV) and Sexual Transmitted Infection (STI). Multivariable logistic regression analyses showed that being in 18-24 age group (AOR=3.279 [95% CI: 1.79, 6.008]) and drinking alcohol (AOR = 9.1 [95% CI: 2.517, 32.9]) were associated with risky sexual behaviour. Conclusion: Considerable amount of school youth had started early sexual activity and have developed risky sexual behaviour that might predispose them to different sexual and reproductive health problems. Delaying sexual initiation and reducing risky sexual behaviour among youth can be achieved through well designed sexual education programs at earlier life in school.